Provider Demographics
NPI:1013535517
Name:FRESENIUS MEDICAL CARE PARKLAND, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE PARKLAND, LLC
Other - Org Name:FRESENIUS KIDNEY CARE PARKLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIVITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:7525 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3506
Mailing Address - Country:US
Mailing Address - Phone:754-240-4610
Mailing Address - Fax:561-922-7680
Practice Address - Street 1:7525 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33073-3506
Practice Address - Country:US
Practice Address - Phone:754-240-4610
Practice Address - Fax:561-922-7680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-10
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment